tci General Surgery Coding Alert - 2023 Issue Q3

Reader Questions: Protect Your Practice With Updated ABN

Question: I’m new to our surgery practice, but I noticed that the ABN form we’re using is different from what I was familiar with at my last job. How can I find out if we’re using a current, approved form? Nebraska Subscriber Answer: The correct Advance Beneficiary Notice of Noncoverage (ABN) form for use on and after April 4, 2023, is CMS-R-131 (Exp. 01/31/2026). The Centers for Medicare & Medicaid Services (CMS) now offers additional guidelines for patients covered by both Medicare and Medicaid, known as dual-eligible beneficiaries. These patients cannot be charged for Medicare cost-sharing...

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